Accounting Services for Healthcare in Middleton Manchester
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Supporting medical practices and private clinics with accounts, tax, bookkeeping, payroll and financial management.
Professional preparation of your annual financial statements.
Accurate and timely filing of all required tax submissions.
Accurate and up-to-date records for your practice.
Efficient payroll management for your staff.
Planning your tax position efficiently while staying compliant.
Healthcare finances are rarely simple, and most of the difficulty comes from how income, employment status and compliance obligations overlap. These are the issues we see healthcare professionals and practices working through most often.
Specialised knowledge of NHS funding and healthcare business accounting.
Our team focuses on your financial needs and provides solutions tailored to your business.
We provide bespoke services to ensure your financial processes are accurate.
We deliver precise financial reports on time, giving you full compliance with HMRC.
Our services offer transparent, upfront pricing with no hidden costs.
We handle all your accounting and financial tasks efficiently.
We begin by getting to know your practice and your specific needs. This step ensures we have a clear picture of your challenges, goals, and the opportunities available to you.
Based on our initial discussion, we create a personalised plan designed specifically for you. Our aim is to keep your healthcare finances straightforward, with your numbers handled accurately and professionally by dedicated healthcare accountants.
From there, we take care of the ongoing work and keep you updated with clear, regular reports. We're always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
We use the latest technology to offer customised financial strategies. Thus, helping healthcare practices grow and thrive.
Our team offers dedicated accounting services tailored to your specific healthcare business. This ensures financial stability and growth for you.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
The work covers two areas. The first is compliance: preparing and filing Self Assessment returns, annual accounts, Corporation Tax computations and VAT returns, running payroll, and keeping accurate bookkeeping records. The second is advice: reviewing whether your business structure still suits you, planning pension contributions around annual allowance rules, identifying allowable expenses that clinicians often overlook, and preparing management accounts so you can see how a practice or clinic is performing. Because your income may come from NHS contracts, private fees, locum sessions and associate work at the same time, a healthcare accountant also needs to understand how those different streams are taxed and reported.
Yes. Locum GPs, salaried doctors with private practice income, hospital consultants, specialist registrars, and clinicians working through their own limited company all have distinct accounting needs. Practice owners and partners add a further layer, including practice accounts, profit-sharing arrangements, staff payroll and, in some cases, VAT. The underlying principles are shared, but the detail differs, which is why it helps to work with an accountant who regularly deals with healthcare income rather than one who meets it occasionally.
That is one of the most common situations we handle. NHS income may already have tax deducted through PAYE, while private fees, locum payments and associate earnings are usually paid gross or with basic rate tax deducted, so the interaction between them affects what you owe. We bring the figures together, check that all sources have been reported, review the expenses you are claiming, and reconcile the return against your NHS payslips and any private income records. Where payments on account are due, we explain what they are and how they affect your cash flow.
Payroll for a healthcare practice is rarely a single arrangement. It often includes salaried clinicians, reception and admin teams, practice nurses, and associates paid on a percentage basis, alongside occasional locum cover. We manage payslips, RTI submissions to HMRC, auto-enrolment duties and statutory payments, and we can advise on how different engagement arrangements should be treated. Locum work in particular raises questions about employment status and off-payroll rules, so it is worth reviewing the position rather than assuming.
Many clinical services are exempt from VAT, but that does not automatically mean a practice or clinic stays outside the system. Once turnover from taxable supplies crosses the VAT registration threshold, registration is generally required, and many healthcare businesses make a mix of exempt and taxable supplies, for example through retail pharmacy sales, cosmetic or non-medical treatments, or certain equipment. That mix can bring partial exemption rules into play, and sometimes voluntary registration is worth considering. We look at your specific income streams before recommending an approach.
Allowable expenses are those incurred wholly and exclusively for your work. Common examples include professional body subscriptions and registration fees, professional indemnity insurance, continuing professional development and required training, medical equipment and its maintenance, uniforms and laundry, business mileage between practice locations, and a proportionate share of home costs where you genuinely run admin from home. What counts as allowable depends on whether you are employed, self-employed or trading through a company, so it is worth reviewing your spending rather than assuming a cost qualifies.
Yes. Most of what we do day to day, including bookkeeping, payroll, VAT returns and accounts preparation, can be handled using secure digital records and online communication, with calls or video meetings when something needs discussing in more depth. To get started, the first step is an initial conversation about your circumstances, how you are currently set up, and what you need from an accountant. We then review your existing records and deadlines, and set out how we would take things forward.
